| NPI | 1003144056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030005-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12012) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2019-12-05 |